Denials Archives

Denial Management Software Features That Actually Reduce Denials

Denial rates don’t move because a software platform has a dashboard. They move because specific decisions inside specific workflows change, like which claims get scrubbed before submission, which denials get worked first, and which underpayments get caught before the appeal...

September 8, 2026

The Revenue Cycle Performance Metrics That Actually Prove ROI

Revenue Cycle Analytics

The Revenue Cycle Performance Metrics That Actually Prove ROI

If you’re trying to prove a tool is working, or trying to figure out if the one you have is worth renewing, the revenue cycle performance metrics that matter split into three categories: 1) what $$ came back, 2) what...

September 3, 2026

The Capture Gap: The Revenue You Earned and Never Collected

Healthcare Payments

The Capture Gap: The Revenue You Earned and Never Collected

Every health system has a number it never sees. It’s the distance between what you could collect on the care you delivered and what you actually keep after payers are done with the claim. We’ve started calling it the capture...

September 1, 2026

Payer Takebacks: The AR You Reported Too Soon

Denials Healthcare Payments

Payer Takebacks: The AR You Reported Too Soon

Underpayments erode hospital revenue, but don't show as denials in standard denial reporting. Aetna Medicare underpayments is a pattern the Sift team is tracking right now. Here's how your hospital can track this payer pattern that creates hidden denials.

August 18, 2026

Healthcare Payments

Why Sift Built 329 MS-DRG Playbooks

Sift proprietary MS-DRG playbooks are a key component of the RevProtect Actionability Engine, helping health systems move beyond retrospective denial reporting and risk prediction to actionable, DRG-specific denial prevention. A 65-year-old patient, three-day length of stay, MS-DRG 871, Sepsis with...

August 17, 2026

AI Prompt Guide For Copilot: Using LLMs to Dig Into Your Hospital’s Denial Data

AI in the Reveue Cycle Denials

AI Prompt Guide For Copilot: Using LLMs to Dig Into Your Hospital’s Denial Data

Your revenue cycle team's Copilot licenses are sitting idle. Sift's AI Prompt Guide for Copilot has 20 prompts to use with your denials data.

August 3, 2026

Payer Delay Tactics: Prepayment Audits Are Moving Upstream, Itemized Bill Thresholds Have Dropped

Healthcare Payments

Payer Delay Tactics: Prepayment Audits Are Moving Upstream, Itemized Bill Thresholds Have Dropped

How prepayment audits by payers, along with broader itemized billing requests, are increasing A/R days for hospitals and health systems. And what to do about it.

July 28, 2026

Hidden Denials Your Reports Miss: Aetna Medicare Underpayments

Claim Denials Denials Healthcare Payments Revenue Cycle Analytics

Hidden Denials Your Reports Miss: Aetna Medicare Underpayments

July 23, 2026

CEO Perspectives: Hospitals Think They’re Maximizing Revenue. They’re Only Measuring Half Of It.

Healthcare Payments Revenue Cycle Analytics Sift CEO Perspectives

CEO Perspectives: Hospitals Think They’re Maximizing Revenue. They’re Only Measuring Half Of It.

CDI programs track revenue captured, not what the payer actually lets a health system keep. Sift's CEO, Justin Nicols on the measurement gap that erases net revenue and why CDI vendors don't flag it.

July 17, 2026

What Your BI Or Analyst Team Can Tell You About Denials, and What It Can’t

Denials Revenue Cycle Analytics

What Your BI Or Analyst Team Can Tell You About Denials, and What It Can’t

Most revenue cycle leaders we talk to already have a denials dashboard. Someone on the analytics team built it, or it’s the standard EHR solution. This denials dashboard refreshes weekly, and it shows the denial rate by payer, service line,...

July 14, 2026

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Tag: Denials

Denial Management Software Features That Actually Reduce Denials

The Revenue Cycle Performance Metrics That Actually Prove ROI

The Capture Gap: The Revenue You Earned and Never Collected

Payer Takebacks: The AR You Reported Too Soon

Why Sift Built 329 MS-DRG Playbooks

AI Prompt Guide For Copilot: Using LLMs to Dig Into Your Hospital’s Denial Data

Payer Delay Tactics: Prepayment Audits Are Moving Upstream, Itemized Bill Thresholds Have Dropped

Hidden Denials Your Reports Miss: Aetna Medicare Underpayments

CEO Perspectives: Hospitals Think They’re Maximizing Revenue. They’re Only Measuring Half Of It.

What Your BI Or Analyst Team Can Tell You About Denials, and What It Can’t

Denial Management Software Features That Actually Reduce Denials

The Revenue Cycle Performance Metrics That Actually Prove ROI

The Capture Gap: The Revenue You Earned and Never Collected

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